| NPI | 1750425013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY CARR Office Manager 605-352-5264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: SD 595) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: SD 638) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2008-04-20 |